Newsletter
Best Papers in General Surgery
The five that matter, every day.
The CDC's recent statements on obesity causing metabolic syndrome and attributing it to individual behavior are contested. Bariatric surgery outcomes challenge the direct link between obesity and diabetes suggested by the CDC. The rise in diabetes rates from 2004 to 2012 contradicts behavior-based explanations. The…
Regardless of diet, Roux-en-Y gastric bypass (RYGB) led to significant reductions in body weight, fat mass, and lean mass. RYGB and high-fat diet (HFD) independently affected bone mineral density and vitamin D levels. HFD after RYGB posed a significant health risk, impairing improvements to dyslipidemia,…
Elderly patients diagnosed with pancreatic adenocarcinoma are more likely to have had a recent cholecystectomy compared to those without. The rate of cholecystectomy in the year prior to cancer diagnosis was 1.9% for the cancer group, significantly higher than the 0.4% observed in the non-cancer…
Researchers conducted a meta-analysis including 5 randomized controlled trials and 1934 patients to compare the use of antibiotics with no antibiotics in the management of acute uncomplicated diverticulitis (AUD). Their findings revealed that there is no significant difference in baseline characteristics, clinical presentation, and adverse…
The study aimed to evaluate the impact of gastrectomy with cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) on the outcomes of gastric cancer (GC) patients with limited peritoneal disease progression following neoadjuvant chemotherapy (NAC). Results showed that there was no survival benefit among advanced…
A randomized controlled trial compared the effectiveness of anterior quadratus lumborum block at the lateral supra-arcuate ligament (QLB-LSAL) with lateral quadratus lumborum block (LQLB) for postoperative analgesia in laparoscopic colorectal surgery. The study found that QLB-LSAL reduced postoperative opioid usage, decreased morphine consumption at 24…
A retrospective cohort study analyzed the association between discharge timing and postdischarge complications in patients undergoing uncomplicated elective colectomy. After matching the early discharge group with the delayed discharge group, the study found that early discharge was associated with lower odds of postdischarge complications in…
A multicenter study developed a prediction model for anti-tumor necrosis factor (TNF) treatment failure in perianal Crohn's disease. The model, based on clinical and radiologic parameters, accurately predicted the likelihood of treatment failure at 6 months. The model outperformed existing imaging-based perianal fistula activity indices…
A retrospective study compared the outcomes of Roux-en-Y gastric bypass and fundoplication in patients with obesity and gastroesophageal reflux disease (GERD). Ninety-five patients with a BMI ≥35 underwent either procedure. Both groups saw an improvement in GERD symptoms and overall quality of life. There were…
Research conducted across multiple colorectal operations and surgical approaches found that prolonged operative time is associated with longer length of stay and increased complications. The study revealed that each additional hour above the median operative time is linked to a 1.08 relative risk of longer…
